| Item Number | Description | Schedule Fee |
|---|---|---|
| 49509 | Total synovectomy of knee, by open procedure, other than a service performed in association with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing an arthroplasty (H) (Anaes.) (Assist.) |
$878.70 |
| Total: | $878.70 | |